Individual
MIRANDA DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1102 W CAPITOL AVE APT 36, BISMARCK, ND 58501-1386
(406) 210-9210
Mailing address
213 4TH AVE SE, CUT BANK, MT 59427-3409
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/06/2016
Last updated
01/08/2021
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